Nothing has to be drastic. A good rhinoplasty can look very natural. Taking down a bump and narrowing the nose is possible. The lower 1/3 also looks a bit wide and that can be treated as well. (Steven Wallach, MD, Manhattan Plastic Surgeon)
I do not think that the “subtle” rhinoplasty is for you. Your results should look natural and fit your face. If you decide that you nose bothers you enough, then you should undergo a rhinoplasty to take down your dorsal hump, create a nice natural dorsal line, and have the rest of your nose shaped in proportion.
You need not fear an open approach rhinoplasty. Do your homework and choose your rhinoplasty surgeon most carefully after consulting and interviewing surgeons until you are comfortable and can trust your face to the surgeon. (Michael A. Persky, MD, Encino Facial Plastic Surgeon)
Can a subtle rhinoplasty work?
You appear to have significant issues with your nose, including a vey prominent dorsal hump, as well as a broad nasal base/ tip.
A ‘subtle’ rhinoplasty would do very little to your nose, because you have significant issues. I’m not sure what would constitute a ‘subtle’ rhinoplasty, but I think that in your case either an closed or open rhinoplasty would give you significant improvement to your nose.
the choice of technique would be dependent on the surgeon’s preference and experience. Either way, you need the right operation to be performed, and any sub-optimal procedure would result in you being dissatisfied, which ultimately may need a secondary procedure to be done – and this is often more difficult than the first operation. (Wilfred Brown, MD, New York Plastic Surgeon)
Open rhinoplasty not necessary to correct wide bump.
You should definitely have a subtle rhinoplasty. What this means is that your nose will look natural. The bump needs to be lowered and your nose needs to be narrowed.
Open rhinoplasty is only necessary when the tip of the nose is really bad. (George J. Beraka, MD (retired), Manhattan Plastic Surgeon)
See an experienced rhinoplasty surgeon.
Whether done open or closed you will have a good, subtle result if you choose a surgeon who does natural subtle noses.
If his work doesn’t look natural to you see another surgeon. You are an excellent candidate for rhinoplasty improvement. (Toby Mayer, MD, Beverly Hills Facial Plastic Surgeon)
Rhinoplasty Surgery can narrow your nose, and reduce a bump.
If you’re bothered by the profile-hump and width of your nose, Rhinoplasty Surgery can address these two issues. I don’t think you’re a great candidate for a Non-Surgical Rhinoplasty, since this will not narrow your bridge, and would make your nose a bit larger.
You should consult a board-certified, experienced, Rhinoplasty specialist. You should request Rhinoplasty Computer Imaging to see how you’ll look after your operation. You can also discuss your concerns about surgery to see if it’s right for you. (Eric M. Joseph, MD, West Orange Facial Plastic Surgeon)
Your nose can be corrected just as sucessfully without an open rhinoplasty
I am not sure what you mean by wanting a “subtle rhinoplasty.” You have a pretty significant bump and wide nasal bones. What I consider subtle is a natural appearing result that better fits your face yet doesn’t look fixed. Some patients require a lot of surgery and some less. In a patient with a straight nose from the front like yours, having had no prior surgery, the results from intranasal rhinoplasty are equal to open rhinoplasty. You should seek out a rhinoplasty specialist to discuss your goals. I like computer imaging to help define what your idea of subtle is. Most patients do get good results from noses like yours. (Steven J. Pearlman, MD, New York Facial Plastic Surgeon)
Subtle rhinoplasty to correct wide nose bump
Since you do NOT have a subtle problem – A subtle solution will not really work in your case. You appear to have a very wide nose with a significant cartilaginous hump (very reminiscent of Piero della Francesca portrait of Federico da Montefeltro Duke of Urbino – a fascinating war lord of the Italian Renaissance). Correction would require removal of the hump, possible spreader graft placement and nose in-fracturing to narrow the nose.
An open approach differs from the closed approach by the addition of LESS than a 0.5cm incision across the columella (the fleshy vertical column between the nostrils. It gives a VASTLY superior visibility and versatility to the surgeon and does NOT add any additional risks. Either way – you should consult a good nose surgeon. (Peter A. Aldea, MD, Memphis Plastic Surgeon)
Subtle rhinoplasty for dorsal hump
You would benefit from a dorsal hump reduction and then infracturing of the bones so the bridge doesn’t look flat after taking the bump down. Don’t be afraid of an open rhinoplasty because it gives the doctor excellent visibility and has no different recovery from a closed approach in my personal experience. (Richard P. Rand, MD, FACS, Seattle Plastic Surgeon)